| NPI | 1407266539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA U IWUEKE President 662-840-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN MD46972) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-01-07 |